Lab & pathology prices at Driscoll Children's Hospital Rio Grande Valley
Edinburg, TX · every code in this section with a posted price and a Medicare benchmark.
853 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $10.58 | $52.90 | 0.7× |
| 17-Hydroxypregnenolone (84143) | $75.67 | $378.35 | 3.3× |
| 5 Nucleotidase (83915) | $15.64 | $78.20 | 1.4× |
| Acth (82024) | $269.56 | $1,347.80 | 7.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $149.27 | $746.35 | 4.6× |
| Actin smooth muscle antibody each (86015) | $8.20 | $41 | 0.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$320.16–$337.87 | $1,600.80–$1,689.35 | varies |
| Acylcarnitines Quant (82017) | $202.63 | $1,013.15 | 12.0× |
| Adenovirus antibody (86603) | $61.41 | $307.05 | 4.8× |
| Agglutinins Febrile Each Antigen (86000) | $23.92 | $119.60 | 3.4× |
| Albumin Fluid (82042) | $37.03 | $185.15 | 4.8× |
| Albumin serum (82040) | $109.94 | $549.70 | 22.2× |
| Aldolase (82085) | $8.28 | $41.40 | 0.9× |
| Aldosterone urine (82088) | $312.11 | $1,560.55 | 7.7× |
| Alkaline phosphatase isoenzymes (84080) | $10.81 | $54.05 | 0.7× |
| Allergen specific ige (86003) | $10.81 | $54.05 | 2.1× |
| Allergen specific igg (86001) | $15.18 | $75.90 | 1.9× |
| Allg Spec Ige Recomb Ea (86008) | $26.68 | $133.40 | 1.5× |
| Alpha-1-antitrypsin phenotype (82104) | $101.66 | $508.30 | 7.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$85.79–$94.76 | $428.95–$473.80 | varies |
| Alpha-Fetoprotein Serum (82105) | $88.32 | $441.60 | 5.3× |
| Alt (sgpt) (84460) | $123.74 | $618.70 | 23.3× |
| Aluminum (82108) | $216.43 | $1,082.15 | 8.5× |
| Amikacin trough (80150) | $92.23 | $461.15 | 6.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $103.50 | $517.50 | 4.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $72.91 | $364.55 | 4.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $17.02 | $85.10 | 1.2× |
| Amino Acids Quant 2-5 (82136) | $129.03 | $645.15 | 6.6× |
| Aminolevulinic acid (ala) (82135) | $108.10 | $540.50 | 6.6× |
| Ammonia (82140) | $102.12 | $510.60 | 7.0× |
| Amylase urine (82150) | $112.01 | $560.05 | 17.3× |
| Ana Titer (86039) | $66.93 | $334.65 | 6.0× |
| Androstanediol Glucuronide (82154) | $146.28 | $731.40 | 5.1× |
| Androstenedione (82157) | $171.12 | $855.60 | 5.8× |
| Angiotensin converting enzyme csf (82164) | $115.92 | $579.60 | 7.9× |
| Anti-Phospholipid Antibody (86148) | $112.70 | $563.50 | 7.0× |
| Antibody aspergillus (86606) | $57.73 | $288.65 | 3.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $57.50 | $287.50 | 4.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $111.78 | $558.90 | 7.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $71.53 | $357.65 | 4.2× |
| Antibody Encephalitis California La Crosse (86651) | $54.05 | $270.25 | 4.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $67.62 | $338.10 | 5.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $78.66 | $393.30 | 5.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $94.76 | $473.80 | 5.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $54.74 | $273.70 | 4.5× |
| Antibody haemophilus influenza (86684) | $110.40 | $552 | 7.0× |
| Antibody helicobacter pylori (86677) | $80.04 | $400.20 | 4.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $75.67 | $378.35 | 5.3× |
| Antibody Herpes Smplx Type 1 (86695) | $60.26 | $301.30 | 4.6× |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$81.19–$86.94 | $405.95–$434.70 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $309.81 | $1,549.05 | 1.0× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $221.49 | $1,107.45 | 2.3× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $221.49 | $1,107.45 | 2.7× |
| Antibody hla class ii semiquantitative panel (86835) | $234.14 | $1,170.70 | 0.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $134.32 | $671.60 | 6.9× |
| Antibody identification leukocyte antibodies (86021) | $190.44 | $952.20 | 12.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $82.34 | $411.70 | 6.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $91.08 | $455.40 | 7.1× |
| Antibody neisseria meningitidis (86741) | $43.47 | $217.35 | 3.3× |
| Antibody Protozoa Nes (86753) | $63.94 | $319.70 | 5.2× |
| Antibody Treponema Pallidum (86780) | $12.19 | $60.95 | 0.9× |
| Antibody yersinia (86793) | $57.50 | $287.50 | 4.4× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$45.08–$54.05 | $225.40–$270.25 | varies |
| Antibody; influenza virus (86710) | $95.22 | $476.10 | 7.0× |
| Antigen typing (86905) range across 2 matching MRF lines |
$26.91–$57.04 | $134.55–$285.20 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$77.28–$77.74 | $386.40–$388.70 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$52.21–$117.76 | $261.05–$588.80 | varies |
| Antistreptolysin o titer (86060) | $51.52 | $257.60 | 7.1× |
| Antithrombin iii activity (85300) | $59.57 | $297.85 | 5.0× |
| Aortic dysfunction/dilation dup/del analysis (81411) | $624.45 | $3,122.25 | 0.5× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $1,299.04 | $6,495.20 | 2.6× |
| Apc gene dup/delet variants (81203) | $569.71 | $2,848.55 | 2.8× |
| Apc gene full sequence (81201) | $569.71 | $2,848.55 | 0.7× |
| Apolipoprotein a1 (82172) | $107.64 | $538.20 | 5.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $68.54 | $342.70 | 1.8× |
| Aquaporin-4 Antb Cba Each (86052) | $36.57 | $182.85 | 3.0× |
| Aquaporin-4 Antb Elisa (86051) | $504.85 | $2,524.25 | 43.8× |
| Arsenic (82175) | $141.22 | $706.10 | 7.4× |
| Aspa gene analysis common variants (81200) | $230.69 | $1,153.45 | 4.9× |
| Aspergillus ag eia (87305) | $84.87 | $424.35 | 7.1× |
| Assay activated protein c (85307) | $96.37 | $481.85 | 6.3× |
| Assay Blood Carbon Dioxide (82374) | $73.37 | $366.85 | 15.0× |
| Assay Duodenal Fluid Trypsin (84485) | $55.20 | $276 | 7.7× |
| Assay Nephelometry Not Spec (83883) | $103.27 | $516.35 | 7.6× |
| Assay of 5-hiaa (83497) | $40.25 | $201.25 | 3.1× |
| Assay of b-hexosaminidase each assay (83080) | $75.21 | $376.05 | 4.5× |
| Assay of blood/uric acid (84550) | $106.95 | $534.75 | 23.7× |
| Assay of calcium in urine (82340) | $123.74 | $618.70 | 20.5× |
| Assay of corticosterone (82528) | $138 | $690 | 6.1× |
| Assay of cpk in blood (82552) | $100.51 | $502.55 | 7.5× |
| Assay of estrone (82679) | $64.63 | $323.15 | 2.6× |
| Assay of g6pd enzyme (82955) | $65.32 | $326.60 | 6.7× |
| Assay of gammaglobulin igm (82784) | $53.59 | $267.95 | 5.8× |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$19.09–$70.61 | $95.45–$353.05 | varies |
| Assay of manganese (83785) | $51.75 | $258.75 | 1.9× |
| Assay of metanephrines (83835) | $118.68 | $593.40 | 7.0× |
| Assay of proinsulin (84206) | $84.87 | $424.35 | 3.2× |
| Assay of pyruvate (84210) | $77.28 | $386.40 | 5.3× |
| Assay of serotonin (84260) | $95.68 | $478.40 | 3.1× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$21.16–$102.12 | $105.80–$510.60 | varies |
| Assay of Sialic Acid (84275) | $72.45 | $362.25 | 5.4× |
| Assay of sweat sodium (84302) | $95.45 | $477.25 | 19.6× |
| Assay of Tyrosine (84510) | $264.96 | $1,324.80 | 24.9× |
| Assay of urea nitrogen (84520) | $50.60 | $253 | 12.8× |
| Assay of urine vma (84585) | $117.76 | $588.80 | 7.6× |
| Assay of vasoactive intestinal peptide (84586) | $89.93 | $449.65 | 2.5× |
| Assay of vitamin b-1 (84425) | $50.83 | $254.15 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $117.30 | $586.50 | 32.8× |
| Assay Phosphohexose Enzymes (84087) | $79.58 | $397.90 | 7.4× |
| Asxl1 gene analysis full gene sequence (81175) | $537.05 | $2,685.25 | 0.8× |
| Automated Leukocyte Count (85048) | $11.96 | $59.80 | 4.7× |
| B cells total count (86355) | $96.60 | $483 | 2.6× |
| Bartonella antibody (86611) | $70.15 | $350.75 | 6.9× |
| Bcr/abl1 gene major bp (81206) | $369.38 | $1,846.90 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $317.17 | $1,585.85 | 2.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $263.12 | $1,315.60 | 1.2× |
| Beta 2 glycoprotein i antibody each (86146) | $72.45 | $362.25 | 2.8× |
| Beta hydroxybutyrate (82010) | $86.94 | $434.70 | 10.6× |
| Beta Lactamase (87185) | $26.91 | $134.55 | 5.7× |
| Beta-2 Microglobulin (82232) | $25.76 | $128.80 | 1.6× |
| Bile acids total (82239) | $112.70 | $563.50 | 6.6× |
| Bilirubin direct (82248) | $102.12 | $510.60 | 20.3× |
| Bilirubin total (82247) | $105.11 | $525.55 | 20.9× |
| Biotinidase (82261) | $66.24 | $331.20 | 3.9× |
| Blastomyces antibody (86612) | $57.50 | $287.50 | 4.5× |
| Bld Typing Serologic Rh Phnt (86906) | $21.39 | $106.95 | 2.8× |
| Blood Count Red Blood Cell Automated (85041) | $13.11 | $65.55 | 4.3× |
| Blood count reticulocyte automated (85045) | $104.65 | $523.25 | 26.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $49.68 | $248.40 | 13.1× |
| Blood gases w/02 saturation (82805) range across 4 matching MRF lines |
$104.88–$131.56 | $524.40–$657.80 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$15.18–$21.16 | $75.90–$105.80 | varies |
| Blood Sulfhemoglobin Assay (83060) | $43.47 | $217.35 | 4.9× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$38.87–$43.93 | $194.35–$219.65 | varies |
| Bone marrow smear interpretation (85097) | $61.41 | $307.05 | 0.1× |
| Bordetella antibody (86615) | $102.35 | $511.75 | 7.8× |
| Braf gene analysis (81210) | $136.39 | $681.95 | 0.8× |
| Brca1&2 gen full seq dup/del (81162) | $3,097.41 | $15,487.05 | 1.7× |
| Brca2 gene analysis full sequence analysis (81216) | $87.40 | $437 | 0.5× |
| Brucella antibody (86622) | $66.70 | $333.50 | 7.5× |
| C diff amplified probe (87493) | $105.34 | $526.70 | 2.8× |
| C-Peptide (84681) | $71.99 | $359.95 | 3.5× |
| C-reactive protein (86140) | $47.61 | $238.05 | 9.2× |
| Ca 19-9 (86301) | $155.02 | $775.10 | 7.4× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $671.60 | $3,358 | 0.8× |
| Cadmium (82300) | $171.81 | $859.05 | 7.3× |
| Caffeine (80155) | $20.47 | $102.35 | 0.5× |
| Calcitonin (82308) | $29.67 | $148.35 | 1.1× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$56.12–$63.94 | $280.60–$319.70 | varies |
| Calcium total (82310) | $123.74 | $618.70 | 24.0× |
| Calculus assay quant (82360) | $79.12 | $395.60 | 6.1× |
| Calculus Spectroscopy (82365) | $46 | $230 | 3.6× |
| Calprotectin Fecal (83993) | $127.42 | $637.10 | 6.5× |
| Cancer Antigen 125 (86304) | $144.90 | $724.50 | 7.0× |
| Cancer Antigen 27.29 (86300) | $144.90 | $724.50 | 7.0× |
| Candida antibody (86628) | $42.09 | $210.45 | 3.5× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $882.97 | $4,414.85 | 1.5× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $576.61 | $2,883.05 | 1.0× |
| Carbamazepine total (80156) | $112.70 | $563.50 | 7.7× |
| Carbohydrate Deficient Transferrin (82373) | $85.79 | $428.95 | 4.8× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$54.74–$57.96 | $273.70–$289.80 | varies |
| Carcinoembryonic antigen (82378) | $133.17 | $665.85 | 7.0× |
| Cardiolipin ab iga (86147) | $72.45 | $362.25 | 2.8× |
| Carnitine Quantitative Each Specimen (82379) | $74.29 | $371.45 | 4.4× |
| Carotene (82380) | $21.16 | $105.80 | 2.3× |
| Catecholamines fractionated (82384) | $176.64 | $883.20 | 7.0× |
| Ccp antibody (86200) | $125.35 | $626.75 | 9.7× |
| Cell count csf (89051) | $102.35 | $511.75 | 18.3× |
| Cell marker study (88182) | $664.70 | $3,323.50 | 12.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $260.13 | $1,300.65 | 1.9× |
| Ceruloplasmin (82390) | $45.54 | $227.70 | 4.2× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $73.60 | $368 | 0.4× |
| Cftr Gene Analysis Known Familial Variants (81221) | $160.77 | $803.85 | 1.7× |
| Cftr gene com variants (81220) | $264.50 | $1,322.50 | 0.5× |
| Cftr gene dup/delet variants (81222) | $349.37 | $1,746.85 | 0.8× |
| Cftr gene full sequence (81223) | $814.20 | $4,071 | 1.6× |
| Chemiluminescent assay (82397) | $103.50 | $517.50 | 7.3× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $112.70 | $563.50 | 0.4× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $120.52 | $602.60 | 0.6× |
| Chlamydia antibody (86631) | $54.05 | $270.25 | 4.6× |
| Chlamydia Igm Antibody (86632) | $50.60 | $253 | 4.0× |
| Chloride other source (82438) | $242.88 | $1,214.40 | 48.6× |
| Chloride Serum (82435) range across 4 matching MRF lines |
$18.17–$95.45 | $90.85–$477.25 | varies |
| Chloride urine (82436) | $123.74 | $618.70 | 21.5× |
| Chlorinated Hydrocarbons Screen (82441) | $36.34 | $181.70 | 6.0× |
| Cholesterol total (82465) | $123.74 | $618.70 | 28.4× |
| Cholinesterase rbc (82482) | $54.74 | $273.70 | 5.6× |
| Cholinesterase Serum (82480) | $55.66 | $278.30 | 7.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$89.24–$108.10 | $446.20–$540.50 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $42.78 | $213.90 | 1.6× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $240.35 | $1,201.75 | 7.0× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $119.37 | $596.85 | 0.7× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $336.72 | $1,683.60 | 1.9× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $435.16 | $2,175.80 | 2.5× |
| Chromium serum (82495) | $57.50 | $287.50 | 2.8× |
| Chromogranin a (86316) | $146.51 | $732.55 | 7.0× |
| Chromosome Analysis 15-20 (88262) | $389.16 | $1,945.80 | 3.1× |
| Chromosome Analysis 20-25 (88264) | $284.05 | $1,420.25 | 2.0× |
| Chromosome analysis 45 cells (88263) | $322.60 | $1,613 | 2.1× |
| Chromosome analysis, 5 (88261) | $441.83 | $2,209.15 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$21.16–$207.23 | $105.80–$1,036.15 | varies |
| Citric acid urine (82507) | $267.49 | $1,337.45 | 9.6× |
| Ckmb (82553) | $106.49 | $532.45 | 9.2× |
| Clostridium Difficile (87324) | $59.57 | $297.85 | 5.0× |
| Clot Factor VIII Multimetric (85247) | $70.15 | $350.75 | 3.1× |
| Clot factor xiii fibrin stab (85290) | $115.46 | $577.30 | 7.1× |
| Clotting factor viii related antigen (85244) | $141.68 | $708.40 | 6.9× |
| Clotting factor xii hageman (85280) | $100.28 | $501.40 | 5.2× |
| Clotting Funct Activity (85397) | $70.15 | $350.75 | 2.3× |
| Clotting hi molec weight kininogen assay (85293) | $132.02 | $660.10 | 7.0× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $300.61 | $1,503.05 | 2.2× |
| Cns DNA amp probe type 12-25 (87483) | $326.37 | $1,631.85 | 0.8× |
| Coagulation time activated (85347) | $56.12 | $280.60 | 13.1× |
| Coccidioides antibody (86635) | $36.34 | $181.70 | 3.2× |
| Cold agglutinin titer (86157) | $16.10 | $80.50 | 2.0× |
| Collagen crosslinks (82523) | $165.37 | $826.85 | 8.9× |
| Column Chromotography Quant (82542) | $136.85 | $684.25 | 5.7× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $129.03 | $645.15 | 0.6× |
| Compatibility test antiglob (86922) | $71.99 | $359.95 | 0.4× |
| Complement Antigen Each Component (86160) | $117.30 | $586.50 | 9.8× |
| Complement Total (Ch50) (86162) | $14.26 | $71.30 | 0.7× |
| Complement/Function Activity (86161) | $117.30 | $586.50 | 9.8× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $424.58 | $2,122.90 | 2.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $283.82 | $1,419.10 | 5.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $444.13 | $2,220.65 | 11.8× |
| Coombs direct (86880) range across 3 matching MRF lines |
$20.01–$57.73 | $100.05–$288.65 | varies |
| Copper urine (82525) | $61.41 | $307.05 | 4.9× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) range across 2 matching MRF lines |
$73.60–$80.04 | $368–$400.20 | varies |
| Cortisol free (82530) | $156.63 | $783.15 | 9.4× |
| Cortisol saliva (82533) | $129.26 | $646.30 | 7.9× |
| Creatine (82540) | $26.91 | $134.55 | 5.8× |
| Creatine kinase total (82550) | $117.30 | $586.50 | 18.0× |
| Creatinine blood (82565) | $108.79 | $543.95 | 21.2× |
| Creatinine clearance (82575) | $175.03 | $875.15 | 18.5× |
| Creatinine Urine (82570) | $123.74 | $618.70 | 23.9× |
| Crp High Sensitivity (86141) | $113.85 | $569.25 | 8.8× |
| Cryoglobulin (82595) | $46 | $230 | 7.1× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $59.80 | $299 | 4.6× |
| Cryptococcal Antigen (87327) | $38.41 | $192.05 | 2.9× |
| Cryptococcus ab (86641) | $42.09 | $210.45 | 2.9× |
| Cryptococcus ag titer (87899) | $24.84 | $124.20 | 1.5× |
| Cryptosporidium ag eia (87328) | $48.30 | $241.50 | 3.5× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) | $409.40 | $2,047 | 3.0× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) | $821.33 | $4,106.65 | 3.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$5.06–$67.16 | $25.30–$335.80 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$4.60–$36.34 | $23–$181.70 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $80.04 | $400.20 | 10.4× |
| Culture aerobic quant other (87071) | $61.18 | $305.90 | 6.2× |
| Culture afb (87116) | $75.67 | $378.35 | 7.0× |
| Culture Anaerobic (87075) | $41.40 | $207 | 4.4× |
| Culture blood (87040) | $151.11 | $755.55 | 14.6× |
| Culture chlamydia (87110) | $148.81 | $744.05 | 7.6× |
| Culture csf (87070) | $69 | $345 | 8.0× |
| Culture fungus (87102) | $79.12 | $395.60 | 9.4× |
| Culture fungus blood (87103) | $72.91 | $364.55 | 3.6× |
| Culture screen only (87081) | $85.33 | $426.65 | 12.9× |
| Culture stool (87045) | $160.54 | $802.70 | 17.0× |
| Culture typing if ea antiserum (87140) | $40.25 | $201.25 | 7.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $34.04 | $170.20 | 6.6× |
| Culture typing other methods (87158) | $9.43 | $47.15 | 1.2× |
| Culture urine (87086) range across 2 matching MRF lines |
$101.89–$141.45 | $509.45–$707.25 | varies |
| Cyanide (82600) | $20.47 | $102.35 | 1.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $39.33 | $196.65 | 2.7× |
| Cyclic amp (82030) | $126.50 | $632.50 | 4.9× |
| Cyclosporine (80158) | $239.66 | $1,198.30 | 13.3× |
| Cyp2c19 gene analysis common variants (81225) | $330.05 | $1,650.25 | 1.1× |
| Cyp2d6 gene com variants (81226) | $777.40 | $3,887 | 1.7× |
| Cystatin C (82610) | $46 | $230 | 2.5× |
| Cytogenetics 10-30 (88273) | $224.48 | $1,122.40 | 6.4× |
| Cytogenetics 100-300 (88275) | $317.86 | $1,589.30 | 6.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,000.04 | $5,000.20 | 0.9× |
| Cytogenomic neo microra alys (81277) | $898.38 | $4,491.90 | 0.8× |
| Cytomegalovirus igg (86644) | $59.11 | $295.55 | 4.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $123.28 | $616.40 | 6.1× |
| Cytopath Fl Nongyn Filter (88106) | $97.29 | $486.45 | 3.3× |
| Cytopath unlstd proc (88199) | $110.63 | $553.15 | 2.1× |
| Cytotoxic pra quick (86808) | $20.40 | $102 | 0.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $160.54 | $802.70 | 6.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $151.11 | $755.55 | 2.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $79.35 | $396.75 | 0.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $63.71 | $318.55 | 3.4× |
| Deoxycortisol (82634) | $145.59 | $727.95 | 5.0× |
| Deoxyribonuclease antibody (86215) | $93.61 | $468.05 | 7.1× |
| Desoxycorticosterone (82633) | $133.17 | $665.85 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$137.08–$245.87 | $685.40–$1,229.35 | varies |
| Detect Agent Nos Dna Quant (87799) | $412.16 | $2,060.80 | 9.6× |
| Detect agnt mult DNA ampli (87801) | $488.98 | $2,444.90 | 7.0× |
| Dhea (82626) | $158.01 | $790.05 | 6.3× |
| Dhea-S (82627) | $32.43 | $162.15 | 1.5× |
| Dibucaine number (82638) | $85.33 | $426.65 | 7.0× |
| Digoxin (80162) | $99.36 | $496.80 | 7.5× |
| Diphtheria antitoxoid (86648) | $30.13 | $150.65 | 2.0× |
| Dmd Duplication/Deletion Analysis (81161) | $443.90 | $2,219.50 | 1.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $300.61 | $1,503.05 | 2.2× |
| Dna Antibody Native/Double Stranded (86225) | $69.46 | $347.30 | 5.1× |
| Dna/Rna Amplified Probe (87150) | $88.09 | $440.45 | 2.5× |
| DNA/RNA direct probe (87149) | $37.03 | $185.15 | 1.8× |
| Dna/Rna Sequencing (87153) | $281.29 | $1,406.45 | 2.4× |
| Drug assay acetaminophen (80143) | $19.09 | $95.45 | 1.0× |
| Drug assay adalimumab (80145) | $245.18 | $1,225.90 | 6.4× |
| Drug Assay Amiodarone (80151) | $15.80 | $79 | 0.8× |
| Drug Assay Everolimus (80169) | $22.54 | $112.70 | 1.6× |
| Drug Assay Infliximab (80230) | $214.36 | $1,071.80 | 5.6× |
| Drug Assay Itraconazole (80189) | $264.27 | $1,321.35 | 9.7× |
| Drug Assay Lacosamide (80235) | $84.18 | $420.90 | 3.1× |
| Drug Assay Leflunomide (80193) | $68.54 | $342.70 | 1.8× |
| Drug Assay Posaconazole (80187) | $80.96 | $404.80 | 3.0× |
| Drug assay voriconazole (80285) | $98.67 | $493.35 | 3.6× |
| Drug Asy Hydroxychloroquine (80220) | $33.81 | $169.05 | 1.8× |
| Drug Screen Quant Zonisamide (80203) | $75.44 | $377.20 | 5.7× |
| Drug Screen Quantitative Gabapentin (80171) | $39.56 | $197.80 | 1.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $44.62 | $223.10 | 3.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $109.94 | $549.70 | 8.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $22.08 | $110.40 | 1.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $20.47 | $102.35 | 1.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$395.60–$445.97 | $1,978–$2,229.85 | varies |
| Drug Test Prsmv Instrmnt (80306) | $41.63 | $208.15 | 2.4× |
| Ehrlichia antibody (86666) | $59.80 | $299 | 5.9× |
| Electrolyte panel (80051) | $226.32 | $1,131.60 | 32.3× |
| Electron Microscopy (88348) | $323.61 | $1,618.05 | 0.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $181.24 | $906.20 | 2.9× |
| Encephaltis East Eqne Anbdy (86652) | $54.05 | $270.25 | 4.1× |
| Encephaltis West Eqne Antbdy (86654) | $54.05 | $270.25 | 4.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $23.92 | $119.60 | 2.0× |
| Enterovirus Antibody (86658) | $57.73 | $288.65 | 4.4× |
| Enterovirus PCR (87498) | $125.35 | $626.75 | 3.6× |
| Enzyme cell activity (82657) | $154.33 | $771.65 | 7.0× |
| Enzyme histochemistry (88319) | $253.23 | $1,266.15 | 0.3× |
| Eosinophil Smear (89190) | $83.03 | $415.15 | 14.3× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $1,362.75 | $6,813.75 | 0.6× |
| Erythropoietin (82668) | $74.52 | $372.60 | 4.0× |
| Estradiol serum (82670) | $166.75 | $833.75 | 6.0× |
| Estriol (82677) | $167.67 | $838.35 | 6.9× |
| Estrogen total (82672) | $24.61 | $123.05 | 1.1× |
| Ethosuximide (80168) | $20.01 | $100.05 | 1.2× |
| Ethylene Glycol (82693) | $118.45 | $592.25 | 7.9× |
| Euglobulin lysis (85360) | $58.19 | $290.95 | 6.9× |
| Exam Synovial Fluid Crystals (89060) | $108.10 | $540.50 | 14.7× |
| Exome Sequence Analysis (81415) | $3,240.93 | $16,204.65 | 0.7× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$808.91 | $4,044.55 | 0.1× |
| F2 Gene (81240) | $167.44 | $837.20 | 2.5× |
| Factor ii activity (85210) | $91.77 | $458.85 | 7.1× |
| Factor Inhibitor Test (85335) | $90.62 | $453.10 | 7.0× |
| Factor ix activity (85250) | $162.38 | $811.90 | 8.5× |
| Factor v activity (85220) | $132.94 | $664.70 | 7.5× |
| Factor v leiden mutation (81241) | $154.10 | $770.50 | 2.1× |
| Factor vii assay (85230) | $146.51 | $732.55 | 8.2× |
| Factor viii assay (85240) | $200.79 | $1,003.95 | 11.2× |
| Factor X (85260) | $143.29 | $716.45 | 8.0× |
| Factor xi activity (85270) | $131.79 | $658.95 | 7.4× |
| Factor xiii screen (85291) | $62.79 | $313.95 | 6.9× |
| Fancc Gene (81242) | $92 | $460 | 2.5× |
| Fatty acids free (82725) | $14.49 | $72.45 | 0.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $58.65 | $293.25 | 7.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $127.65 | $638.25 | 7.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $41.17 | $205.85 | 6.3× |
| Fecal Fat Qualitative (82705) | $20.70 | $103.50 | 4.1× |
| Ferritin (82728) | $147.89 | $739.45 | 10.9× |
| Fetal Fibronectin (82731) | $310.96 | $1,554.80 | 4.8× |
| Fetal hemoglobin assay qual (83033) | $102.12 | $510.60 | 12.8× |
| Fibrin degradation products (85362) | $15.87 | $79.35 | 2.3× |
| Fibrin Degradation Quant (85379) | $66.01 | $330.05 | 6.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $173.19 | $865.95 | 17.8× |
| Fibrinogen activity (85384) | $60.26 | $301.30 | 6.2× |
| Fibrinogen antigen (85385) | $59.80 | $299 | 4.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $52.44 | $262.20 | 3.4× |
| Flecainide level (80181) | $57.73 | $288.65 | 3.1× |
| Flow cytometry first marker (88184) | $387.55 | $1,937.75 | 1.1× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$61.18–$107.41 | $305.90–$537.05 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $88.78 | $443.90 | 7.4× |
| Fluoride serum (82735) | $118.22 | $591.10 | 6.4× |
| Fmr1 gene detection (81243) | $232.99 | $1,164.95 | 4.1× |
| Folic acid rbc (82747) | $77.74 | $388.70 | 4.4× |
| Folic Acid Serum (82746) | $22.77 | $113.85 | 1.5× |
| Follicle Stimulating Hormone (83001) | $99.36 | $496.80 | 5.3× |
| Forensic Cytopathology (88125) | $61.41 | $307.05 | 1.2× |
| Francisella tularensis (86668) | $82.34 | $411.70 | 5.8× |
| Frozen Section (88331) | $508.53 | $2,542.65 | 3.0× |
| Fungi Identification Mold (87107) | $49.68 | $248.40 | 4.8× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$6.44–$71.07 | $32.20–$355.35 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $177.10 | $885.50 | 3.0× |
| G6pd gene analysis full gene sequence (81249) | $1,441.41 | $7,207.05 | 2.4× |
| Galactokinase rbc (82759) | $247.02 | $1,235.10 | 11.5× |
| Galactose (82760) | $125.12 | $625.60 | 11.2× |
| Galactose transferase test (82776) | $8.51 | $42.55 | 0.7× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $173.88 | $869.40 | 8.3× |
| Gammaglobulin ige (82785) | $48.07 | $240.35 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $46.69 | $233.45 | 4.8× |
| Gases blood ph only (82800) | $27.83 | $139.15 | 2.5× |
| Gastrin (82941) range across 2 matching MRF lines |
$20.47–$102.12 | $102.35–$510.60 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $447.58 | $2,237.90 | 1.1× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $43.70 | $218.50 | 0.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,055.28 | $10,276.40 | 2.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,304.95 | $26,524.75 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $268.87 | $1,344.35 | 7.9× |
| Genetic Tstg Severe Inh Cond (81443) | $1,895.89 | $9,479.45 | 0.8× |
| Genome Sequence Analysis (81425) | $5,027.57 | $25,137.85 | 1.0× |
| Genome sequence analysis each comparator genome (81426) | $2,708.25 | $13,541.25 | 1.0× |
| Gentamicin (80170) | $112.70 | $563.50 | 6.9× |
| Ggt (82977) | $117.30 | $586.50 | 16.3× |
| Giardia antigen (87329) | $89.93 | $449.65 | 7.5× |
| Giardia lamblia antibody (86674) | $102.58 | $512.90 | 7.0× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $233.68 | $1,168.40 | 2.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $10.58 | $52.90 | 1.7× |
| Glucagon (82943) | $61.87 | $309.35 | 4.3× |
| Glucose 2 hr pp (82950) | $107.64 | $538.20 | 22.7× |
| Glucose body fluid (82945) | $109.94 | $549.70 | 28.0× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$19.09–$123.74 | $95.45–$618.70 | varies |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$8.51–$131.56 | $42.55–$657.80 | varies |
| Glucosidase beta (82963) | $56.81 | $284.05 | 2.6× |
| Glutathione (82978) | $111.09 | $555.45 | 7.2× |
| Glycated Protein (82985) | $119.83 | $599.15 | 7.1× |
| Gonadotropin Chorionic Qualitative (84703) | $80.96 | $404.80 | 10.8× |
| Gonadotropin releasing hormone (83727) range across 2 matching MRF lines |
$66.24–$112.24 | $331.20–$561.20 | varies |
| Growth hormone (83003) range across 5 matching MRF lines |
$66.24–$317.86 | $331.20–$1,589.30 | varies |
| Growth Hormone Stimulation Panel (80428) | $109.02 | $545.10 | 1.6× |
| Gtt-added samples (82952) | $14.49 | $72.45 | 3.7× |
| Haptoglobin (83010) | $10.58 | $52.90 | 0.8× |
| Hba1/hba2 full gene sequence (81259) | $480.01 | $2,400.05 | 0.8× |
| Hba1/Hba2 Gene (81257) | $233.63 | $1,168.16 | 2.3× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $761.99 | $3,809.95 | 3.8× |
| Hbb duplication/deletion variants (81363) | $612.95 | $3,064.75 | 3.0× |
| Hbb Full Gene Sequence (81364) | $294.63 | $1,473.15 | 0.9× |
| Hdl Cholesterol (83718) | $89.24 | $446.20 | 10.9× |
| Hearing Loss Dup/Del Analysis (81431) | $342.70 | $1,713.50 | 0.5× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $342.70 | $1,713.50 | 0.2× |
| Heinz Bodies Direct (85441) | $36.80 | $184 | 8.8× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $59.80 | $299 | 8.8× |
| Helicobacter Pylori Stool (87338) | $91.08 | $455.40 | 6.3× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$135.01–$188.83 | $675.05–$944.15 | varies |
| Hematocrit (85014) | $23.92 | $119.60 | 10.1× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$10.58–$14.49 | $52.90–$72.45 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$49.45–$84.87 | $247.25–$424.35 | varies |
| Hemoglobin Chromotography (83021) | $154.33 | $771.65 | 8.5× |
| Hemoglobin electrophoresis (83020) | $109.94 | $549.70 | 8.5× |
| Hemoglobin F Fetal Chemical (83030) | $57.96 | $289.80 | 5.4× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$32.66–$34.73 | $163.30–$173.65 | varies |
| Hemoglobin plasma (83051) | $58.42 | $292.10 | 8.0× |
| Hemoglobin stability screen (83068) | $60.95 | $304.75 | 6.4× |
| Hemoglobin-Oxygen Affinity (82820) | $70.38 | $351.90 | 5.3× |
| Hemolysin Acid (85475) | $85.33 | $426.65 | 9.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $61.41 | $307.05 | 7.0× |
| Hemolysins&Agglutinins Incubated (86941) | $67.39 | $336.95 | 5.6× |
| Hep a ab igm (86709) | $63.02 | $315.10 | 5.6× |
| Heparin assay (85520) | $94.76 | $473.80 | 7.2× |
| Hepatitis a antibody total (86708) | $60.95 | $304.75 | 4.9× |
| Hepatitis b core ab igm (86705) | $57.04 | $285.20 | 4.8× |
| Hepatitis b core ab total (86704) | $66.70 | $333.50 | 5.5× |
| Hepatitis B Surface Antibody (86706) | $62.33 | $311.65 | 5.8× |
| Hepatitis B Surface Antigen (87340) | $57.73 | $288.65 | 5.6× |
| Hepatitis Be Antibody (86707) | $86.02 | $430.10 | 7.4× |
| Hepatitis Be Antigen (87350) | $92.46 | $462.30 | 8.0× |
| Hepatitis C Antibody (86803) | $78.43 | $392.15 | 5.5× |
| Hepatitis c antibody confirmatory test (86804) | $89.24 | $446.20 | 5.8× |
| Hepatitis C Genotype (87902) | $443.67 | $2,218.35 | 1.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $270.48 | $1,352.40 | 7.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $232.53 | $1,162.65 | 5.4× |
| Hepatitis Delta Agent Antibody (86692) | $127.65 | $638.25 | 7.4× |
| Herpes simplex type 2 (86696) | $72.45 | $362.25 | 3.7× |
| Heterophile Antibody Screen (86308) | $48.07 | $240.35 | 9.3× |
| Hfe Gene (81256) | $69.23 | $346.15 | 1.1× |
| Histamine urine (83088) | $128.57 | $642.85 | 4.4× |
| Histoplasma antibody (86698) | $61.41 | $307.05 | 4.5× |
| Histoplasma antigen urine (87385) | $48.07 | $240.35 | 3.6× |
| Hiv Genotype (87901) | $174.11 | $870.55 | 0.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $68.77 | $343.85 | 2.9× |
| Hiv-1 Antibody (86701) | $73.60 | $368 | 8.3× |
| HIV-1 p24 antigen (87390) | $123.28 | $616.40 | 5.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $271.63 | $1,358.15 | 3.2× |
| Hla class i semiquant panel (86834) | $259.21 | $1,296.05 | 0.7× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $90.16 | $450.80 | 0.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $129.95 | $649.75 | 0.3× |
| Hla class i&ii antibody qual (86828) | $175.03 | $875.15 | 2.7× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $280.37 | $1,401.85 | 0.7× |
| Hla class i/ii antibody qual (86829) | $221.49 | $1,107.45 | 3.5× |
| Hla class ii high defin qual (86833) | $293.48 | $1,467.40 | 0.9× |
| Hla class ii typing high resolution one locus ea (81382) | $110.86 | $554.30 | 0.9× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $78.20 | $391 | 0.7× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $19.78 | $98.90 | 0.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $78.43 | $392.15 | 1.1× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $194.12 | $970.60 | 0.9× |
| Hla ii typing 1 allele hr (81383) | $294.86 | $1,474.30 | 2.7× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $221.95 | $1,109.75 | 2.1× |
| Hla Typing Dr/Dq Single Antigen (86816) | $192.28 | $961.40 | 6.4× |
| Hla-b27 (86812) | $179.17 | $895.85 | 6.9× |
| Homocysteine (83090) | $118.45 | $592.25 | 6.6× |
| Homogenization Tissue (87176) | $26.68 | $133.40 | 4.5× |
| Homovanillic acid urine (83150) | $20.01 | $100.05 | 0.9× |
| Hpa-1 genotyping gene analysis common variant (81105) | $108.10 | $540.50 | 0.9× |
| Hpa-15 genotyping gene analysis common variant (81112) | $108.10 | $540.50 | 0.9× |
| Hpa-2 genotyping gene analysis common variant (81106) | $108.10 | $540.50 | 0.9× |
| Hpa-3 genotyping gene analysis common variant (81107) | $108.10 | $540.50 | 0.9× |
| Hpa-4 genotyping gene analysis common variant (81108) | $108.10 | $540.50 | 0.9× |
| Hpa-5 genotyping gene analysis common variant (81109) | $108.10 | $540.50 | 0.9× |
| Hpa-6 genotyping gene analysis common variant (81110) | $108.10 | $540.50 | 0.9× |
| Hpa-9 Genotyping (81111) | $108.10 | $540.50 | 0.9× |
| Hsv Dna Amp Probe (87529) | $175.72 | $878.60 | 5.0× |
| Hsv Dna Quant (87530) | $143.98 | $719.90 | 3.4× |
| Htlv-I Antibody (86687) | $46.20 | $231 | 5.1× |
| Htlv-ii antibody (86688) | $71.06 | $355.30 | 5.1× |
| Hydroxycorticosteroids 17 (83491) | $107.41 | $537.05 | 6.0× |
| Hydroxyprogesterone 17-d (83498) | $55.20 | $276 | 2.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $40.48 | $202.40 | 0.9× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $84.18 | $420.90 | 7.0× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $84.18 | $420.90 | 7.0× |
| Iaad ia shiga-like toxin (87427) | $84.18 | $420.90 | 7.0× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$22.31–$53.82 | $111.55–$269.10 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $260.59 | $1,302.95 | 7.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $306.82 | $1,534.10 | 8.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$112.93–$243.57 | $564.65–$1,217.85 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $229.77 | $1,148.85 | 6.5× |
| Iadna Cytomegalovirus Quantification (87497) | $242.65 | $1,213.25 | 5.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $77.28 | $386.40 | 2.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $248.86 | $1,244.30 | 5.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $260.59 | $1,302.95 | 7.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $200.79 | $1,003.95 | 4.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $229.77 | $1,148.85 | 6.5× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$112.93–$297.62 | $564.65–$1,488.10 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $277.15 | $1,385.75 | 6.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $174.34 | $871.70 | 3.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $278.99 | $1,394.95 | 6.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$112.93–$260.59 | $564.65–$1,302.95 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$21.16–$338.79 | $105.80–$1,693.95 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $103.27 | $516.35 | 0.7× |
| Igg subclasses (82787) | $42.32 | $211.60 | 5.3× |
| Igh gene rearrange amp meth (81261) | $523.48 | $2,617.40 | 2.6× |
| Igk rearrangeabn clonal pop (81264) | $457.01 | $2,285.05 | 2.6× |
| Immune Complex Assay (86332) | $168.82 | $844.10 | 6.9× |
| Immunfix e-phorsis/urine/csf (86335) | $592.25 | $2,961.25 | 20.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $115.69 | $578.45 | 6.3× |
| Immunoassay infectious agent (86318) | $50.37 | $251.85 | 2.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $45.54 | $227.70 | 3.0× |
| Immunoassay nonantibody (83516) | $111.78 | $558.90 | 9.7× |
| Immunodiffusion Ouchterlony (86331) | $89.70 | $448.50 | 7.5× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $155.25 | $776.25 | 6.7× |
| Immunofixation electrophoresis (86334) | $155.02 | $775.10 | 6.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $315.56 | $1,577.80 | 1.8× |
| Immunohistochemistry (88342) range across 6 matching MRF lines |
$394.68–$502.09 | $1,973.40–$2,510.45 | varies |
| In situ hybridization 1st probe stain (88365) | $276.92 | $1,384.60 | 1.6× |
| Influenza assay w/optic (87804) | $80.50 | $402.50 | 4.9× |
| Influenza DNA amp probe (87502) | $148.12 | $740.60 | 1.5× |
| Inherited Cardmypthy 5 Gns (81439) | $531.76 | $2,658.80 | 0.9× |
| Inhibin A (86336) | $128.11 | $640.55 | 8.2× |
| Inhibin b (83520) range across 2 matching MRF lines |
$90.85–$111.09 | $454.25–$555.45 | varies |
| Insitu hybridization auto (88367) | $427.34 | $2,136.70 | 1.2× |
| Insulin antibodies (86337) | $107.87 | $539.35 | 5.0× |
| Insulin free (83527) | $38.87 | $194.35 | 3.0× |
| Insulin total (83525) | $102.35 | $511.75 | 9.0× |
| Intrinsic factor antibody (86340) | $92.23 | $461.15 | 6.1× |
| Iron (83540) | $123.74 | $618.70 | 19.1× |
| Iron Binding Capacity (83550) | $123.74 | $618.70 | 14.2× |
| Irradiation Blood Product Each Unit (86945) | $174.11 | $870.55 | 4.6× |
| Islet cell antibody (86341) | $108.79 | $543.95 | 4.6× |
| Jak2 gene analysis p.val617phe variant (81270) | $631.58 | $3,157.90 | 6.9× |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$78.66–$89.24 | $393.30–$446.20 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $818.57 | $4,092.85 | 6.6× |
| Koh Prep (87220) range across 2 matching MRF lines |
$10.58–$17.25 | $52.90–$86.25 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $106.49 | $532.45 | 17.6× |
| Lactoferrin fecal qualitative (83630) | $136.85 | $684.25 | 6.9× |
| Ldh Isoenzymes (83625) | $11.73 | $58.65 | 0.9× |
| LDL direct (83721) | $75.90 | $379.50 | 7.2× |
| Lead (83655) range across 2 matching MRF lines |
$88.32–$117.76 | $441.60–$588.80 | varies |
| Legionella antibody (86713) | $32.20 | $161 | 2.1× |
| Legionella antigen urine (87449) | $84.87 | $424.35 | 7.1× |
| Leptospira antibody (86720) | $57.50 | $287.50 | 3.5× |
| Leukocyte Assessment Fecal (89055) | $21.16 | $105.80 | 5.0× |
| Leukocyte phagocytosis (86344) | $56.35 | $281.75 | 5.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $142.60 | $713 | 4.9× |
| Level ii surg pathology grossµscopic exam (88302) | $274.16 | $1,370.80 | 7.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $690.46 | $3,452.30 | 1.9× |
| Lidocaine (80176) | $23.23 | $116.15 | 1.6× |
| Lipase (83690) | $66.70 | $333.50 | 9.7× |
| Lipoprotein A (83695) | $91.08 | $455.40 | 6.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $78.20 | $391 | 6.9× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $172.50 | $862.50 | 5.1× |
| Lithium (80178) range across 2 matching MRF lines |
$9.66–$51.29 | $48.30–$256.45 | varies |
| Luteinizing Hormone (Lh) (83002) | $105.80 | $529 | 5.7× |
| Lyme disease antibody (86618) | $135.47 | $677.35 | 8.0× |
| Lymphocyte transformation (86353) | $416.30 | $2,081.50 | 8.5× |
| Lymphocytotoxicity Assay (86805) | $99.82 | $499.10 | 0.5× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $95.45 | $477.25 | 2.0× |
| Lysozyme serum (85549) | $58.65 | $293.25 | 3.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $762.22 | $3,811.10 | 4.5× |
| Macroscopic exam arthropod (87168) | $38.18 | $190.90 | 8.9× |
| Macroscopic Exam Parasite (87169) | $39.10 | $195.50 | 9.1× |
| Magnesium Urine (83735) | $54.74 | $273.70 | 8.2× |
| Mass Spectrometry Quant (83789) | $132.94 | $664.70 | 5.5× |
| Mecp2 gene dup/delet variant (81304) | $217.35 | $1,086.75 | 1.4× |
| Mecp2 gene full seq (81302) | $572.24 | $2,861.20 | 1.1× |
| Mercury urine (83825) | $97.29 | $486.45 | 6.0× |
| Metabolic panel ionized ca (80047) | $248.40 | $1,242 | 18.1× |
| Methotrexate (80204) | $65.32 | $326.60 | 1.7× |
| Methylmalonic acid serum (83921) | $80.96 | $404.80 | 3.8× |
| Microalbumin, quantitative (82043) | $147.89 | $739.45 | 25.6× |
| Microbe Suscept Macrobroth (87188) | $52.44 | $262.20 | 7.9× |
| Microsomal Antibodies Each (86376) | $83.26 | $416.30 | 5.7× |
| Mog-Igg1 Antb Cba Each (86362) | $21.85 | $109.25 | 1.8× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $68.54 | $342.70 | 1.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $186.53 | $932.65 | 8.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $211.83 | $1,059.15 | 5.0× |
| Molecular Pathology Procedure Level 3 (81402) | $368.92 | $1,844.60 | 2.5× |
| Molecular Pathology Procedure Level 6 (81405) | $511.75 | $2,558.75 | 1.7× |
| Mononuclear cell antigen (86356) | $342.70 | $1,713.50 | 12.8× |
| Mopath procedure level 1 (81400) | $279.45 | $1,397.25 | 4.4× |
| Mopath procedure level 2 (81401) | $535.44 | $2,677.20 | 3.9× |
| Mopath procedure level 4 (81403) | $535.44 | $2,677.20 | 2.9× |
| Mopath procedure level 5 (81404) | $558.21 | $2,791.05 | 2.0× |
| Mopath procedure level 7 (81406) | $1,255.57 | $6,277.85 | 4.4× |
| Mopath procedure level 8 (81407) | $2,417.53 | $12,087.65 | 2.9× |
| Mopath procedure level 9 (81408) | $976.81 | $4,884.05 | 0.5× |
| Mrsa Pcr (87641) | $127.88 | $639.40 | 3.6× |
| Mthfr Gene Analysis Common Variants (81291) | $56.35 | $281.75 | 0.9× |
| Mucopolysaccharides acid quantitative (83864) | $156.63 | $783.15 | 5.5× |
| Mumps antibody (86735) | $63.94 | $319.70 | 4.9× |
| Mycobacteric Identification (87118) | $70.38 | $351.90 | 4.8× |
| Mycophenolic Acid (80180) | $40.48 | $202.40 | 2.2× |
| Mycoplasma antibody (86738) | $116.84 | $584.20 | 8.8× |
| Mycoplasma culture (87109) | $71.99 | $359.95 | 4.7× |
| Myelin basic protein csf (83873) | $18.17 | $90.85 | 1.1× |
| Myoglobin urine (83874) | $91.08 | $455.40 | 7.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$65.78–$73.83 | $328.90–$369.15 | varies |
| Neutralization Test Viral (86382) | $138.69 | $693.45 | 8.2× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $37.26 | $186.30 | 1.3× |
| Niacin (84591) | $13.80 | $69 | 0.8× |
| Nk cells total count (86357) | $91.08 | $455.40 | 2.4× |
| Noonan Spectrum Disorders (81442) | $1,273.51 | $6,367.55 | 0.6× |
| Nuclear antigen antibody (86235) | $173.88 | $869.40 | 9.7× |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $330.51 | $1,652.55 | 0.1× |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $126.96 | $634.80 | 2.9× |
| Occult blood feces (82272) | $14.49 | $72.45 | 3.4× |
| Occult Blood Other Sources (82271) | $39.56 | $197.80 | 7.4× |
| Oligoclonal bands (83916) | $14.26 | $71.30 | 0.5× |
| Organic Acids Qualitative Each Specimen (83919) | $131.10 | $655.50 | 8.0× |
| Organic acids urine (83918) | $115.69 | $578.45 | 4.9× |
| Osmolality serum (83930) | $106.49 | $532.45 | 16.1× |
| Osmolality Urine (83935) | $102.12 | $510.60 | 15.0× |
| Osmotic fragility rbc incubated (85557) | $75.90 | $379.50 | 5.7× |
| Osteocalcin (83937) | $82.57 | $412.85 | 2.8× |
| Ova and parasites smears (87177) | $69.92 | $349.60 | 7.9× |
| Oxalate urine (83945) | $124.43 | $622.15 | 8.6× |
| Pancreatic Elastase Fecal (82656) | $93.38 | $466.90 | 8.1× |
| Particle Agglut Antbdy Titr (86406) | $63.48 | $317.40 | 6.0× |
| Particle Agglutination Screen Each Antibody (86403) | $276.92 | $1,384.60 | 24.0× |
| Parvovirus antibody (86747) | $43.70 | $218.50 | 2.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $76.13 | $380.65 | 0.1× |
| Pathology Consultation During Surgery (88329) | $52.67 | $263.35 | 0.9× |
| Ph urine (81003) range across 3 matching MRF lines |
$31.51–$39.68 | $157.55–$198.38 | varies |
| Phenobarbital Level (80184) | $112.70 | $563.50 | 7.4× |
| Phenotype Infect Agent Drug (87900) | $123.97 | $619.85 | 1.0× |
| Phenylalanine (84030) | $81.42 | $407.10 | 14.8× |
| Phenytoin (Dilantin) (80185) | $112.70 | $563.50 | 8.5× |
| Phenytoin free (80186) | $109.25 | $546.25 | 7.9× |
| Phosphatase alkaline (84075) | $36.11 | $180.55 | 7.0× |
| Phosphorus Serum (84100) | $102.12 | $510.60 | 21.5× |
| Phosphorus urine (84105) | $123.74 | $618.70 | 21.4× |
| Pinworm exam (87172) | $28.06 | $140.30 | 6.6× |
| Platelet Aggregation (85576) | $150.42 | $752.10 | 6.0× |
| Platelet Antibodies (86022) | $107.87 | $539.35 | 5.9× |
| Platelet count automated (85049) | $19.32 | $96.60 | 4.3× |
| Platelet neutralization (85597) | $111.78 | $558.90 | 6.2× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) | $882.51 | $4,412.55 | 3.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $642.39 | $3,211.95 | 3.1× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $587.88 | $2,939.40 | 0.8× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $431.25 | $2,156.25 | 0.6× |
| Pooling blood platelets (86965) range across 2 matching MRF lines |
$77.28–$77.74 | $386.40–$388.70 | varies |
| Porphobilinogen, urine; quantitative (84110) | $52.21 | $261.05 | 6.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $117.53 | $587.65 | 8.0× |
| Potassium Urine (84133) | $123.74 | $618.70 | 26.2× |
| Prealbumin (84134) | $59.57 | $297.85 | 4.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $61.87 | $309.35 | 4.1× |
| Pregnanetriol (84138) | $148.81 | $744.05 | 7.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $5.52 | $27.60 | 0.1× |
| Pretx serum rbc antibody identification dilution (86976) | $9.89 | $49.45 | 0.3× |
| Primidone (80188) | $115.23 | $576.15 | 6.9× |
| Procalcitonin (Pct) (84145) | $198.26 | $991.30 | 7.3× |
| Progesterone (84144) | $123.74 | $618.70 | 5.9× |
| Prolactin (84146) | $115.69 | $578.45 | 6.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$23.23–$32.66 | $116.15–$163.30 | varies |
| Protein C Activity (85303) | $97.29 | $486.45 | 7.0× |
| Protein c antigen (85302) | $81.88 | $409.40 | 6.8× |
| Protein Electrophoresis Urine (84166) | $123.97 | $619.85 | 7.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $72.91 | $364.55 | 6.8× |
| Protein S Free (85306) | $97.29 | $486.45 | 6.4× |
| Protein s total (85305) | $82.34 | $411.70 | 7.1× |
| Protein total serum (84155) | $123.74 | $618.70 | 33.7× |
| Protein Total Urine (84156) | $123.74 | $618.70 | 33.7× |
| Protein Western Blot Test (84182) | $134.32 | $671.60 | 4.6× |
| Protoporphyrin rbc quantitative (84202) | $62.10 | $310.50 | 4.3× |
| PSA free (84154) | $140.76 | $703.80 | 7.7× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $195.27 | $976.35 | 0.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $413.31 | $2,066.55 | 0.7× |
| Pth Intact (83970) | $149.96 | $749.80 | 3.6× |
| Pyruvate kinase (84220) | $80.96 | $404.80 | 8.6× |
| Q Fever Antibody (86638) | $89.47 | $447.35 | 7.4× |
| Quantiferon tb gold plus (86480) | $103.04 | $515.20 | 1.7× |
| Quantitative assay drug (80299) | $242.19 | $1,210.95 | 13.0× |
| Quantitative Screen Metals (83018) | $152.03 | $760.15 | 6.9× |
| Quinidine (80194) | $14.03 | $70.15 | 1.0× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$101.43–$107.41 | $507.15–$537.05 | varies |
| Rbc antibody identification (86870) | $195.96 | $979.80 | 0.5× |
| Rbc antibody screen (86850) | $18.40 | $92 | 1.9× |
| Rbc pretreatment serum (86978) | $100.51 | $502.55 | 1.7× |
| Rbc serum pretx incubj drugs (86975) | $18.17 | $90.85 | 0.0× |
| Renin activity plasma (84244) | $153.64 | $768.20 | 7.0× |
| Reptilase test (85635) | $69.23 | $346.15 | 7.0× |
| Resp virus 12-25 targets (87633) | $381.34 | $1,906.70 | 0.9× |
| Resp Virus 6-11 Targets (87632) | $195.50 | $977.50 | 0.9× |
| Reticulated Platelet Assay (85055) | $33.35 | $166.75 | 0.9× |
| Reticulocyte Count (85046) | $37.49 | $187.45 | 6.7× |
| Rh (86901) range across 2 matching MRF lines |
$22.08–$23.23 | $110.40–$116.15 | varies |
| Rheumatoid Factor Qualitative (86430) | $40.48 | $202.40 | 6.6× |
| Rheumatoid factor quant (86431) | $147.89 | $739.45 | 26.1× |
| Rickettsia antibody (86757) | $75.44 | $377.20 | 3.9× |
| Ristocetin cofactor (85245) | $72.91 | $364.55 | 3.2× |
| Rotavirus ag eia (87425) | $83.03 | $415.15 | 6.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$42.32–$48.07 | $211.60–$240.35 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$114.54–$120.52 | $572.70–$602.60 | varies |
| Rubella Antibody (86762) | $87.17 | $435.85 | 6.1× |
| Rubeola antibody (86765) | $87.17 | $435.85 | 6.8× |
| Russell Viper Venom Time Diluted (85613) | $50.37 | $251.85 | 5.3× |
| Salicylate Level (80179) | $6.67 | $33.35 | 0.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $416.30 | $2,081.50 | 8.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $46.69 | $233.45 | 1.1× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $11.50 | $57.50 | 0.3× |
| Sedimentation rate (85651) | $46.46 | $232.30 | 10.9× |
| Sedimentation Rate, Automated (85652) | $64.86 | $324.30 | 24.0× |
| Selenium (84255) | $47.61 | $238.05 | 1.9× |
| Sensitivity mic (87186) | $74.52 | $372.60 | 8.6× |
| Serpina 1 gene (81332) | $122.59 | $612.95 | 2.8× |
| Sex Chromatin Identification Barr Bodies (88130) | $241.04 | $1,205.20 | 13.4× |
| Sex Hormone Binding Globulin (84270) | $168.13 | $840.65 | 7.7× |
| Sickling of rbc reduction (85660) | $92.46 | $462.30 | 16.8× |
| Sirolimus (80195) | $132.94 | $664.70 | 9.7× |
| Skin test tuberculosis intradermal (86580) range across 5 matching MRF lines |
$5.29–$548.65 | $26.45–$2,743.25 | varies |
| Smear acid fast (87206) | $42.78 | $213.90 | 7.9× |
| Smear complex stain (87209) | $43.70 | $218.50 | 2.4× |
| Smear gram stain (87205) | $41.86 | $209.30 | 9.8× |
| Smear Special Stain (87207) | $30.36 | $151.80 | 5.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $454.25 | $2,271.25 | 3.3× |
| Smpd1 Gene Analysis Common Variants (81330) | $31.74 | $158.70 | 0.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $21.16 | $105.80 | 3.6× |
| Snrpn/Ube3a Methylation Analysis (81331) | $370.07 | $1,850.35 | 7.2× |
| Sodium Serum (84295) range across 4 matching MRF lines |
$24.84–$102.12 | $124.20–$510.60 | varies |
| Sodium Urine (84300) | $109.94 | $549.70 | 21.7× |
| Soluble Transferrin Receptor (84238) | $204.70 | $1,023.50 | 5.6× |
| Somatomedin (84305) range across 2 matching MRF lines |
$59.34–$113.16 | $296.70–$565.80 | varies |
| Special Stains Group 1 (88312) | $169.51 | $847.55 | 3.2× |
| Special Stains Group 2 (88313) | $177.10 | $885.50 | 1.3× |
| Specific gravity body fluid (84315) | $12.88 | $64.40 | 3.9× |
| Specimen infect agnt concntj (87015) | $49.22 | $246.10 | 7.4× |
| Spectrophotometry (84311) | $52.44 | $262.20 | 6.5× |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$26.68–$77.74 | $133.40–$388.70 | varies |
| Stem cells total count (86367) | $156.63 | $783.15 | 2.0× |
| Stool cultr aerobic bact ea (87046) | $15.18 | $75.90 | 1.6× |
| Strep a assay w/optic (87880) | $72.68 | $363.40 | 4.4× |
| Strep a DNA amp probe (87651) | $69.92 | $349.60 | 2.0× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $23.92 | $119.60 | 2.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $9.20 | $46 | 1.7× |
| Sugars Multiple Quant (84379) | $71.07 | $355.35 | 6.2× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$12.65–$32.20 | $63.25–$161 | varies |
| Sulfate urine (84392) | $47.84 | $239.20 | 8.7× |
| Surg path level iii (88304) | $384.79 | $1,923.95 | 7.4× |
| Surgical pathology level IV (88305) | $553.61 | $2,768.05 | 10.6× |
| Surgical pathology level vi (88309) | $1,054.55 | $5,272.75 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $82.11 | $410.55 | 17.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $67.16 | $335.80 | 9.0× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $67.62 | $338.10 | 1.7× |
| Sweat Collection Iontophoresis (89230) | $92.69 | $463.45 | 1.8× |
| Syphilis Test Non-Trep Quant (86593) | $31.51 | $157.55 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $138.46 | $692.30 | 2.9× |
| T cells total count (86359) | $110.63 | $553.15 | 2.9× |
| T3 Free (84481) | $148.58 | $742.90 | 8.8× |
| T3 reverse (84482) | $62.79 | $313.95 | 4.0× |
| T3 Total (84480) | $45.77 | $228.85 | 3.2× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$86.25–$109.25 | $431.25–$546.25 | varies |
| T4 Free (84439) | $88.32 | $441.60 | 9.8× |
| T4 total (84436) | $136.85 | $684.25 | 19.9× |
| T4-neonatal (84437) | $5.98 | $29.90 | 0.9× |
| Tacrolimus (80197) | $130.41 | $652.05 | 9.5× |
| Tb ag response t-cell susp (86481) | $122.36 | $611.80 | 1.2× |
| Tert gene targeted seq alys (81345) | $560.74 | $2,803.70 | 3.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$89.24–$249.32 | $446.20–$1,246.60 | varies |
| Testosterone, Free (84402) | $196.88 | $984.40 | 7.7× |
| Tetanus antibody (86774) | $27.83 | $139.15 | 1.9× |
| Tgsap so/hl 51/< RNA alys (81456) | $2,753.56 | $13,767.80 | 0.9× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,262.24 | $6,311.20 | 2.1× |
| Theophylline (80198) | $119.14 | $595.70 | 8.4× |
| Thiocyanate (84430) | $61.87 | $309.35 | 5.3× |
| Thrombin Time (85670) | $50.37 | $251.85 | 8.7× |
| Thromboplastin Inhibition Tissue (85705) | $50.37 | $251.85 | 5.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $47.84 | $239.20 | 7.4× |
| Thyroglobulin (84432) | $98.21 | $491.05 | 6.1× |
| Thyroglobulin Antibody (86800) | $95.91 | $479.55 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $156.86 | $784.30 | 3.1× |
| Thyroxine binding globulin (84442) | $110.40 | $552 | 7.5× |
| Tiss cul neo disorders solid tumor (88239) | $294.40 | $1,472 | 2.0× |
| Tissue Culture (88233) | $317.86 | $1,589.30 | 2.3× |
| Tissue culture bone marrow (88237) | $288.65 | $1,443.25 | 2.0× |
| Tissue Culture Lymphocyte (88230) | $363.40 | $1,817 | 3.1× |
| Tobramycin peak (80200) | $112.70 | $563.50 | 7.0× |
| Topiramate (80201) | $39.56 | $197.80 | 3.3× |
| Touch prep (88161) | $216.66 | $1,083.30 | 7.5× |
| Toxoplasma ab igm (86778) | $48.76 | $243.80 | 3.4× |
| Toxoplasma antibody (86777) | $75.90 | $379.50 | 5.3× |
| Tp53 gene analysis full gene sequence (81351) | $1,089.97 | $5,449.85 | 1.7× |
| Tpmt gene com variants (81335) | $156.63 | $783.15 | 0.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $123.74 | $618.70 | 23.9× |
| Transferrin (84466) | $138.46 | $692.30 | 10.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $506.69 | $2,533.45 | 2.4× |
| Trg gene rearrangement anal (81342) | $181.24 | $906.20 | 0.9× |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$57.50–$102.58 | $287.50–$512.90 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$128.11–$178.02 | $640.55–$890.10 | varies |
| Triglycerides (84478) | $102.12 | $510.60 | 17.8× |
| Troponin Quant (84484) | $121.67 | $608.35 | 9.8× |
| Trypsin feces qual (84488) | $51.06 | $255.30 | 7.0× |
| Ugt1a1 gene analysis common variants (81350) | $461.84 | $2,309.20 | 2.0× |
| Unlisted Cytogenetic Study (88299) | $300.15 | $1,500.75 | 5.7× |
| Urea nitrogen urine (84540) | $123.74 | $618.70 | 22.3× |
| Uric acid other source (84560) | $123.74 | $618.70 | 24.4× |
| Urinalysis Microscopic Only (81015) | $31.51 | $157.55 | 10.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $5.06 | $25.30 | 2.3× |
| Urinalysis Volume Measure (81050) | $14.49 | $72.45 | 4.0× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$80.96–$84.11 | $404.80–$420.56 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $64.86 | $324.30 | 20.5× |
| Valproic acid (80164) | $128.34 | $641.70 | 9.5× |
| Vancomycin (80202) | $70.15 | $350.75 | 5.2× |
| Varicella-zoster antibody (86787) | $80.04 | $400.20 | 6.2× |
| Vasopressin (84588) | $237.82 | $1,189.10 | 7.0× |
| Very Long Chain Fatty Acids (82726) | $209.76 | $1,048.80 | 10.6× |
| Viral Culture (87252) | $160.54 | $802.70 | 6.2× |
| Virus antibody nos (86790) | $138.46 | $692.30 | 10.8× |
| Virus inoculate tissue addl (87253) | $54.05 | $270.25 | 2.7× |
| Virus inoculation, shell via (87254) | $71.99 | $359.95 | 3.7× |
| Viscosity serum (85810) | $70.61 | $353.05 | 6.1× |
| Vit D 1 25-Dihydroxy (82652) | $277.15 | $1,385.75 | 7.2× |
| Vitamin A (84590) | $84.87 | $424.35 | 7.3× |
| Vitamin b-12 (82607) | $113.85 | $569.25 | 7.5× |
| Vitamin B6 (84207) | $123.74 | $618.70 | 4.4× |
| Vitamin c (82180) | $14.26 | $71.30 | 1.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$95.68–$238.74 | $478.40–$1,193.70 | varies |
| Vitamin E (84446) | $103.27 | $516.35 | 7.3× |
| Vitamin K (84597) | $221.72 | $1,108.60 | 16.2× |
| Volatiles (84600) | $124.66 | $623.30 | 7.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $8.20 | $41 | 0.7× |
| Von willebrand factor ag (85246) | $70.15 | $350.75 | 3.1× |
| West nile virus ab igm (86788) | $54.05 | $270.25 | 3.2× |
| West Nile Virus Antibody (86789) | $94.76 | $473.80 | 6.6× |
| Whole Mitochondrial Genome (81460) | $1,969.03 | $9,845.15 | 1.5× |
| Whole mitochondrial genome analysis panel (81465) | $1,733.05 | $8,665.25 | 1.9× |
| Xm Archive Tissue Molec Anal (88363) | $9.20 | $46 | 0.3× |
| Xylose Absorption Test (84620) | $14.03 | $70.15 | 1.1× |
| Zika Virus Dna/Rna Amp Probe (87662) | $182.16 | $910.80 | 3.6× |
| Zika Virus Igm Antibody (86794) | $50.60 | $253 | 3.0× |
| Zinc (84630) | $14.26 | $71.30 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.